Important upgrades to the emergency department and inpatient sepsis and septic shock order sets will be implemented Tuesday, Oct. 15, 2024. Using order sets in sepsis care has resulted in improved outcomes at all Corewell Health East hospitals. This upgrade is intended to further improve care for our sepsis patients across the system.

What’s changing:

• Emergency sepsis order set – antibiotics changing to 24-hour duration (East only):   Antibiotics ordered from the “ED Sepsis and Septic Shock” order set will have a default duration for 24 hours. Inpatient admission medication reconciliation will remain essential in identifying antibiotics that will be timing out and require subsequent antibiotic orders. Antibiotic suggestions based on suspected site of infection, including dose and duration, are available in the inpatient “Sepsis and Septic Shock” order set.
• Emergency/Inpatient sepsis order sets – single button attestation for weight-based fluids (East/West/South): Sepsis patients with body mass index greater than 30 may receive fluid bolus based on ideal body weight rather than actual body weight. The sepsis order set will make this recommendation and calculate appropriate fluid volume. For ease of documentation to compliance standards, an acknowledgment of the ideal body weight adjusted fluid volume is now prechecked for these patients within the order.
• Inpatient sepsis order sets – default blood culture orders (East/West/South): To avoid unnecessary blood cultures, the inpatient “sepsis order set” now can do a 24-hour look back. If blood cultures have not been ordered in the past 24 hours, the blood culture order will be prechecked in the sepsis order set. If blood cultures have been ordered in the past 24 hours, the blood culture order will not be available on the order set.